Intussusception in neonates: Analysis of 14 Japanese patients

Abstract

Hypoxic events may play a crucial aetiologic role in the pathogenesis of late-onset neonatal intussusception.

Ileo-colic intussusception in premature neonate

“…However, a lead point may be found in about 8% cases. In the present case, we did not find any lead point, similar to Anand et al 9 Ueki et al 10 in a recent study of 14 neonates concludes that hypoxic events may play a crucial aetiologic role in the pathogenesis of late onset neonatal intussusception.…”

“…Typical features are absent and the symptoms mimic other common surgical conditions 7. Mass is also infrequently palpated as against infantile intussusception 3 8–10…”

Multiple sequential intussusceptions causing bowel obstruction in a preterm neonate

“…Unfortunately, the cardinal infantile symptoms of paroxysmal abdominal cramps, palpable mass, and currant jelly stools are often absent in the neonate. Instead, intussusception in the younger infant may present with nonspecific signs including abdominal distension, bilious emesis, and intolerance to feeding; rectal bleeding may also occur, mimicking NEC [3][4][5][6][7].…”

Neonatal Intussusception: A Review

“…Inspissated meconium has also been found to be causing intussusception [14]. It has been observed that hypoxic events may play a crucial etiologic role in the pathogenesis of late onset neonatal intussusception [16].…”

“…It has numerous advantages like absence of harmful radiation exposure to the neonate, lead point identification and ability to diagnose ileo-ileal and other small bowel intussusceptions [1,15,16,19,24,30]. Sometimes, in neonates, the sigmoid colon lies in the right side along with distended small bowel loops, overlapping the intussusception [31].…”